Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $3,839.00 / $8,247.00	Facility		$1,020.00	$3,839.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,757.35 / $1,966.57 / $2,563.53	Professional		$1,757.35	$1,966.57	$2,563.53
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,480.74	Facility		$13,531.00	$27,840.00	$46,480.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,913.58 / $1,985.79 / $1,985.79	Professional		$1,913.58	$1,985.79	$1,985.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,731.16 / $2,437.09 / $3,927.58	Professional		$1,731.16	$2,437.09	$3,927.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,276.39 / $3,019.64 / $3,040.29	Professional		$2,276.39	$3,019.64	$3,040.29
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,761.00 / $8,247.00	Facility		$832.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,757.35 / $2,082.16 / $6,192.62	Professional		$1,757.35	$2,082.16	$6,192.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,921.40 / $5,026.10	Professional		$6.00	$1,921.40	$5,026.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,805.26 / $2,478.26 / $4,050.54	Professional		$1,805.26	$2,478.26	$4,050.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,871.85 / $1,898.73 / $1,898.73	Facility		$1,871.85	$1,898.73	$1,898.73
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,849.91 / $1,898.73 / $2,013.85	Professional		$1,849.91	$1,898.73	$2,013.85
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $2,391.00 / $6,322.00	Facility		$625.00	$2,391.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,618.99 / $2,220.60 / $3,851.01	Professional		$1,618.99	$2,220.60	$3,851.01